Abstract
The majority of patients with Hodgkin’s disease (HD) can be cured with radiation therapy (RT) and/or combination chemotherapy (CT). However, patients who relapse after attaining a complete remission (CR) from CT, and those who fail to achieve a complete response with CT (primary refractory disease), have a poor outcome using conventional-dose second-line or salvage regimens (1–3). Over the past 15 yr, numerous clinical trials using high-dose chemotherapy (HDCT), or chemoradiotherapy, with autologous stem cell transplantation (ASCT) have been reported, and 30–50% of patients appear to be cured using this approach. These results compare favorably with historical data using conventional second-line chemoradiotherapy, and, currently, ASCT is the salvage treatment of choice for many patients with relapsed and primary refractory HD (4–7).
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References
Bonfante V, Santoro A, Viviani S, et al. Outcome of patients with Hodgkin’s disease failing after primary MOPP-ABVD, J. Clin. Oncol., 15 (1997) 528–534.
Longo D, Duffey P, Young R, et al. Conventional-dose salvage combination chemotherapy in patients relapsing with Hodgkin’s disease after combination chemotherapy: the low probability for cure, J. Clin. Oncol., 10 (1992) 210–218.
Yahalom J. Management of relapsed and refractory Hodgkin’s disease, Semin. Radiat. Oncol., 6 (1996) 210–224.
Bierman PJ and Armitage JO. Role of autotransplantation in Hodgkin’s disease, Hematol. Oncol. Clin. North Am., 7 (1993) 591–611.
Goldstone AH, McMillan AK: Place of high-dose therapy with haemopoietic stem cell transplantation in relapsed and refractory Hodgkin’s disease, Ann. Oncol., 4 (1993) 21–27.
Armitage JO, Bierman PJ, Vose JM, et al. Autologous bone marrow transplantation for patients with relapsed Hodgkin’s disease, Am. J. Med., 91 (1991) 605–611.
Carella AM, Congiu AM, Gaozza E, et al. High-dose chemotherapy with autologous bone marrow transplantation in 50 advanced resistant Hodgkin’s disease patients: an Italian study group report, J. Clin. Oncol., 6 (1988) 1411–1416.
Linch DC, Winfield D, Goldstone AH, et al. Dose intensification with autologous bone-marrow transplantation in relapsed and resistant Hodgkin’s disease: results of a BNLI randomised trial, Lancet, 341 (1993) 1051–1054.
Schmitz N, Sextro M, Hasenclever D, et al. HD-R1:First results of a randomized trial comparing aggressive chemotherapy with high-dose therapy (HDT) and hematopoietic and stem cell transplantation (HSCT) in patients with chemosensitive relapse of Hodgkin’ s disease, Blood,90 (Suppl 1) (1997) 115a(Abstract).
Sweetenham JW, Taghipour G, Milligan D, et al. High-dose therapy and ASCT for patients with HD in first relapse after chemotherapy: results from the EBMT, Bone Marrow Transplant., 20 (1997) 745–752.
Yahalom J, Gulati SC, Toia M, et al. Accelerated hyperfractionated total lymphoid irradiation, high-dose chemotherapy, and autologous bone marrow transplantation for refractory and relapsing patients with Hodgkin’s disease, J. Clin. Oncol., 11 (1993) 1062–1070.
Yuen AR, Rosenberg SA, Hoppe RT, et al. Comparison between conventional salvage therapy and high-dose therapy with autografting for recurrent or refractory Hodgkin’s disease, Blood, 89 (1997) 814–822.
Schmitz N, Linch DC, Dreger P, et al. Randomized trial of filgrastim-mobilized PBPCT vs. ABMT in lymphoma patients, Lancet, 347 (1996) 353–357.
Moskowitz CH, Glassman JR, Wuest D, et al. Factors affecting mobilization of PBPCs in patients with lymphoma, Clin. Cancer Res.,4 (19) 311–316.
Jagannath S, Armitage JO, Dicke KA, et al. Prognostic factors for response and survival after high-dose cyclophosphamide, carmustine, and etoposide with autologous bone marrow transplantation for relapsed Hodgkin’s disease, J. Clin. Oncol., 7 (1989) 179–185.
Moormeier JA, Williams SF, Kammer LS, et al. Autologous bone marrow transplantation followed by involved field radiotherapy in patients with relapsed or refractory Hodgkin’s disease, Leukemia Lymphoma, 5 (1991) 243–246.
Carella A, Carlier P, Congiu A, et al. Nine years’ experience with ABMT in 128 patients with Hodgkin’s disease: an Italian study group report, Leukemia, 5 (1991) 68–71.
Wheeler C, Antin JH, Churchill WH, et al. Cyclophosphamide, carmustine, and etoposide with autologous bone marrow transplantation in refractory Hodgkin’ s disease and non-Hodgkin’ s lymphoma. A dose-finding study, J. Clin. Oncol., 8 (1990) 648–856.
Zulian GB, Selby P, Milan S, et al. High-dose melphalan, BCNU and etoposide with autologous bone marrow transplantation for Hodgkin’s disease, Br. J. Cancer, 59 (1989) 631–635.
Reece DE, Connors JM, Spinelli JJ, et al. Intensive therapy with cyclophosphamide, carmustine, etoposide +/- cisplatin, and autologous bone marrow transplantation for Hodgkin’s disease in first relapse after combination chemotherapy, Blood, 83 (1994) 1193–1199.
Poen JC, Hoppe RT, and Homing SJ. High-dose therapy and autologous bone marrow transplantation for relapsed/refractory Hodgkin’s disease: the impact of involved field radiotherapy on patterns of failure and survival, Inn. J. Radiat. Oncol. Biol. Phys., 36 (1996) 3–12.
Wirth A, Cony J, Laidlaw C, et al. Salvage radiotherapy for Hodgkin’s disease following chemotherapy failure, Int. J. Radiat. Oncol. Biol. Phys., 39 (1997) 599–607.
Pezner RD, Lipsett JA, Vora N, et al. Radical radiotherapy as salvage treatment for relapse of Hodgkin’s disease initially treated by chemotherapy alone: prognostic significance of the disease-free interval, Int. J. Radiat. Oncol. Biol. Phys., 30 (1994) 965–970.
Biti G, Cimino G, Cartoni C, et al. Extended-field radiotherapy is superior to MOPP chemotherapy for the treatment of pathologic stage I-IIA Hodgkin’s disease: eight-year update of an Italian prospective randomized study, J. Clin. Oncol., 10 (1992) 378–382.
Young R, Canellos G, Chabner B, et al. Patterns of relapse in advanced Hodgkin’s disease treated with combination chemotherapy, Cancer, 42 (1978) 1001–1007.
Yahalom J, Ryu J, Straus D, et al. Impact of adjuvant radiation on the patterns and rate of relapse in advanced-stage Hodgkin’s disease treated with alternating chemotherapy combinations, J. Clin. Oncol.,9 (1991) 2193–2201.
Brizel D, Winer E, Prosnitz L, et al. Improved survival in advanced Hodgkin’s disease with the use of combined modality therapy, Int. J. Radian. Oncol. Biol. Phys., 19 (1991) 535–542.
Chopra R, McMillan AK, Linch DC, et al. The place of high-dose BEAM therapy and autologous bone marrow transplantation in poor-risk Hodgkin’s disease. A single-center eight-year study of 155 patients, Blood, 81 (1993) 1137–1145.
Anderson JE, Litzow MR, Appelbaum FR, et al. Allogeneic, syngeneic, and autologous marrow transplantation for Hodgkin’s disease: the 21-year Seattle experience, J. Clin. Oncol.,11(1993) 23422350.
Crump M, Smith AM, Brandwein J, et al. High-dose etoposide and melphalan, and autologous bone marrow transplantation for patients with advanced Hodgkin’s disease: importance of disease status at transplant, J. Clin. Oncol., 11 (1993) 704–711.
Mundt AJ, Sibley G, Williamks S, et al. Patterns of failure following high-dose chemotherapy and autologous bone marrow transplantation with involved field radiotherapy for relapsed/refractory Hodgkin’s disease, Int. J. Radiat. Oncol. Biol. Phys., 33 (1995) 261–270.
Phillips GL, Wolff SN, Herzig RH, et al. Treatment of progressive Hodgkin’s disease with intensive chemoradiotherapy and autologous bone marrow transplantation, Blood, 73 (1989) 2086–2092.
Gianni AM, Siena S, Bregni M, et al. Prolonged disease-free survival after high-dose sequential chemo-radiotherapy and haemopoietic autologous transplantation in poor prognosis Hodgkin’s disease, Ann. Oncol., 2 (1991) 645–653.
McMillan A, and Goldstone A. What is the value of autologous bone marrow transplantation in the treatment of relapsed or resistant Hodgkin’s disease? Leukemia Res., 15 (1991) 237–243.
Petersen FB, Appelbaum FR, Hill R, et al. Autologous marrow transplantation for malignant lymphoma: a report of 101 cases from Seattle, J. Clin. Oncol., 8 (1990) 638–647.
Nadermanee A, O’Donnell MR, Snyder DS et al. High-dose chemotherapy with or without TBI followed by ASCT for patients with relapsed and refractory HD: results of 85 patients and analysis of prognostic factors, Blood, 85 (1995) 1381–1390.
Roach M, Kapp D, Rosenberg S, et al. Radiotherapy with curative intent: an option in selected patients relapsing after chemotherapy for advanced Hodgkin’s Disease, J. Clin. Oncol., 5 (1987) 550–555.
Mauch P, Tarbell N, Skarin A, et al. Wide-field radiation therapy alone or with chemotherapy for Hodgkin’s disease in relapse from combination chemotherapy, J. Clin. Oncol., 5 (1987) 544–549.
Gribben JG, Linch DC, Singer CR, et al. Successful treatment of refractory Hodgkin’s disease by high-dose combination chemotherapy and autologous bone marrow transplantation, Blood, 73 (1989) 340–344.
Reece DE, Barnett MJ, Connors JM, et al. Intensive chemotherapy with cyclophosphamide, carmustine, and etoposide followed by autologous bone marrow transplantation for relapsed Hodgkin’s disease [published erratum appears in J. Clin. Oncol. 10 (1992) 170], J. Clin. Oncol., 9 (1991) 1871–1879.
Yahalom J. Integrating radiotherapy into bone marrow transplantation programs for HD, Int. J. Radiat. Oncol. Biol. Phys., 33 (1995) 525–528.
Yahalom J, Moni J, Gulati SC, et al. Salvage therapy of Hodgkin’s disease with intensive total lymphoid irradiation, cyclophosphamide and etoposide followed by autologous bone marrow transplantation: 10-year results, Proc. ASCO, 16 (1997) 24.
Moskowitz CH, Nimer SD, Portlock CS, et al. Ifosfamide, carboplatin, and etoposide (ICE) cytoreduction followed by high-dose chemoradiotherapy and ASCT for refractory and relapsed Hodgkin’s disease: an intent to treat study, Blood, 90 (Suppl 1) (1997) 233a.
Bierman PJ, Bagin RG, Jagannath S, et al. High-dose chemotherapy followed by ASCT in HD: longterm follow-up in 128 patients, Ann. Oncol., 4 (1993) 767–773.
Horning SJ, Chao NJ, and Negrin RS. High-dose therapy and ASCT for recurrent or refractory HD: analysis of the Stanford University results and prognostic indices, Blood, 89 (1997) 801–813.
Shipp MA, Harrington DP, Anderson JR, et al. Predictive model for aggressive NHL, N. Engl. J. Med., 329 (1993) 987–992.
Gianni AM Bregni M, Sienna S, Brambilla C, et al. High-dose chemotherapy and ABMT compared with MACOP-B in aggressive B cell lymphoma, N. Engl. J. Med., 1290 (1997) 336–341.
Hansenclever D and Diehl V. Prognostic score for advanced HD, N. Engl. J. Med.,339 (1998) 15061514.
Barlett NL, Rosenberg SA, Hoppe RT, et al. Brief chemotherapy, Stanford V, and adjuvant radiotherapy for bulky or advanced stage Hodgkin’s disease, J. Clin. Oncology., 13 (1995) 1080–1088.
Moskowitz CH, Yahalom J, Straus D, et al. The use of Stanford V overcomes poor prognostic features in patients with advance stage HD, Blood, 92 (1998) 2579.
Tesch H, Diehl V, Lathan B, et al. Moderate dose escalation for advanced-stage Hodgkin’s disease using bleomycin, etoposide, adriamycin, cyclophosphamide, vincristine, procarbazine and prednisone scheme and adjuvant radiotherapy. A study of the German Hodgkin’s Lymphoma Study Group, Blood, 92 (1998) 4560–4567.
Canellos GP, Anderson JR, Propert KJ, et al. Chemotherapy of advanced stage Hodgkin’s disease with MOPP, ABVD or MOPP alternating with ABVD, N. Engl. J. Med., 327 (1992) 1478–1484.
Ahmed T, Lake DE, Beer M, et al. Single and double autotransplants for relapsing/refractory HD: results of two consecutive trials, Bone Marrow Transplant., 19 (1997) 449–454.
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Moskowitz, C.H., Nimer, S.D. (2000). Autologous Transplantation for Hodgkin’s Disease. In: Bolwell, B.J. (eds) Current Controversies in Bone Marrow Transplantation. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-657-7_10
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DOI: https://doi.org/10.1007/978-1-59259-657-7_10
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